A facility shall have an effective discharge planning process that includes the discharging resident and the resident's caregiver or support person as an active partner for post-discharge care. The discharge planning process and discharge plan must:
The facility shall have policies and procedures to support the discharge planning process that outline the person responsible for discharge planning, members of the discharge planning team, a list of all area agencies and resources, and a description of the process.
The facility shall initiate planning with applicable agencies to meet the resident's identified needs, and the resident must be offered assistance to obtain needed services prior to discharge.
S.D. Admin. R. 44:73:04:18
General Authority: SDCL 34-12-13.
Law Implemented: SDCL 34-12-13.